| NPI | 1619334570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHZAIDA HENSON Mental Health Therapist 407-241-9223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-01-24 |
| Last Update Date | 2016-01-24 |